| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $1,915.34 | $1,915.34 | $2,104.98 | |
Health Alliance Plan
| Facility | $2,015.40 | $2,015.40 | $2,015.40 | |
Health Alliance Plan
| Professional | $1,913.46 | $2,015.40 | $2,602.30 |